Active NPI
David Henry Shetler, RN
- Chore Provider
- Fort Irwin, CA
National Provider Identifier
1740299692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- R50665
- Practice address
- Meddac
Building 248-a, Barstow Road
Fort Irwin, CA 92310 - Phone
- (760) 985-9621
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | R50665 | AR | Primary |
Addresses
Primary practice location
Meddac
Building 248-a, Barstow Road
Fort Irwin, CA 92310
Mailing address
He&T USA Meddac
Building 248-a, Barstow Rd
Fort Irwin, CA 92310
Phone (760) 985-9621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R50665 | AR | MD | Chore Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740299692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HE&T USA MEDDAC",
"address_2": "BUILDING 248-A, BARSTOW RD",
"city": "FORT IRWIN",
"state": "CA",
"postal_code": "92310",
"telephone_number": "760-985-9621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDDAC",
"address_2": "BUILDING 248-A, BARSTOW ROAD",
"city": "FORT IRWIN",
"state": "CA",
"postal_code": "92310",
"telephone_number": "760-985-9621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETLER",
"first_name": "DAVID",
"middle_name": "HENRY",
"name_prefix": "Prof.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "AR",
"license": "R50665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Irwin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.